| Millenium Medical Care Inc | |
|
39 Calle Munoz Rivera Aguas Buenas Aguas Buenas PR 00703-3233 | |
| (787) 732-7424 | |
| (787) 757-6306 |
| Full Name | Millenium Medical Care Inc |
|---|---|
| Speciality | General Practice |
| Location | 39 Calle Munoz Rivera, Aguas Buenas, Puerto Rico |
| Authorized Official Name and Position | Edwin Bonilla (OWNER) |
| Authorized Official Contact | 7877327424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Medical Care Inc 39 Calle Munoz Rivera Aguas Buenas Aguas Buenas PR 00703-3233 Ph: (787) 732-7424 | Millenium Medical Care Inc 39 Calle Munoz Rivera Aguas Buenas Aguas Buenas PR 00703-3233 Ph: (787) 732-7424 |
| NPI Number | 1710197686 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 01/12/2016 |
| Medicare PECOS PAC ID | 6800142548 |
|---|---|
| Medicare Enrollment ID | O20180710003158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710197686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 11614 (Puerto Rico) | Primary |
| Provider Name | Edwin Bonilla Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407854649 PECOS PAC ID: 2264690510 Enrollment ID: I20120216000390 |
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